JENNIFER E MACKENZIE (NPI# 1548785637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548785637 |
| Entity Type | Individual |
| Full Name | JENNIFER E MACKENZIE |
| Credential | MS, ATC, NREMT-B |
| Practice Address |
22450 19th Ave S Des Moines WA 98198-7623 |
| Mailing Address |
9220 Ne Bluefin Ct Bainbridge Island WA 98110-4603 |
| Practice Telephone | 2066317019 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A160647869 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253332 | Jennifer Mackenzie | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209-3925 | 2019-09-09 |
| 1710456272 | Jennifer Mackenzie | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 302, Henderson, NV 89015-6444 | 2018-11-14 |
| 1598259947 | Jennifer Lynn Mackenzie | Family Medicine | 250 Pleasant St, Concord, NH 03301-7539 | 2018-06-19 |
| Street Address |
22450 19TH AVE S |
| City | DES MOINES |
| State | WA |
| Zip Code | 98198-7623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831443662 | Lois Baron | Registered Nurse | 22450 19th Ave S, Des Moines, WA 98198-7623 | 2012-10-31 |
| 1093129454 | Britni Elaine Racus | Specialist/Technologist | 22450 19th Ave S, Des Moines, WA 98198-7623 | 2014-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194273367 | Lisa Adams | Occupational Therapy Assistant | 933 S 262nd Pl, Des Moines, WA 98198 | 2016-09-16 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
| 1578944864 | Alexander Stephen Topor | Dentist | 26401 Pacific Hwy S.#201, Des Moines, WA 98198 | 2015-06-12 |
| 1942699301 | Sunshine Luzano Yap | Occupational Therapy Assistant | 23600 Marine View Dr. S., Des Moines, WA 98198 | 2015-01-22 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1023318615 | Andrew Francis Torres | Physical Therapy Assistant | 2800 South 224th St., Des Moines, IA 98198 | 2010-10-28 |
| 1194032896 | Brigitte Rey Wagner | Physical Therapy Assistant | 815 S 216th St, Wesley Home, Des Moines, WA 98198 | 2010-09-02 |
| Find all providers in zip 98198 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787690 | Andrew Sullivan Orr | Specialist/Technologist | 2000 High St Apt 109, Des Moines, IA 50309-3334 | 2020-07-16 |
| 1265072037 | Devon Gurnett | Specialist/Technologist | 6007 Snyder Ave, Des Moines, IA 50322-3655 | 2020-01-09 |
| 1285101949 | Aubrey Myles Roland | Specialist/Technologist | 1268 Stewart St, Des Moines, IA 50316-2634 | 2018-10-30 |
| 1407337827 | Caleb Seth Freeze | Specialist/Technologist | 1500 Morton Ave, Des Moines, IA 50316-1647 | 2018-08-23 |
| 1447790100 | Jody Alan Green | Specialist/Technologist | 730 3rd St, Des Moines, IA 50309-1302 | 2017-02-28 |
| 1326580606 | Stacie Brown | Specialist/Technologist | 1201 Herold Ave, Des Moines, IA 50315 | 2016-11-17 |
| 1326590639 | Rebecca Walkenhorst | Specialist/Technologist | 450 Laurel St Ste B, Des Moines, IA 50314-3045 | 2016-11-03 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1164810339 | Devin Michael Shannon | Specialist/Technologist | 2015 Nash Dr, Des Moines, IA 50314-2050 | 2014-12-22 |
| 1275946998 | Luke Randall Steele | Specialist/Technologist | 1200 Grandview Ave Bsmt, Des Moines, IA 50316-1529 | 2014-06-10 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 98198 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.